​​​​​​Medi-Cal Income Eligibility Limitations for nursing home residency requires that the applicant’s monthly countable income must be less than the nursing home’s monthly private-pay rate.

In 2015, the spouse of a Medi-Cal recipient living in a nursing home (called the "community spouse")may keep as much as $119,220.00 without jeopardizing the Medi-Cal Eligibility of the spouse who is receiving long-term care. This is called the "community spouse resource allowance". T​his is the most that the state may allow a community spouse to retain without a hearing or a court order.

Furthermore, so that the community spouse is not impoverished, the community spouse is entitled to retain a minimum amount of monthly income, defined as the"Minimum Monthly Maintenance Needs Allowance".

INCOME LIMITATIONS

MEDI-CAL QUALIFICATIONS

California Minimum Monthly Maintenance Needs Allowance (MMMNA)

​​​​To Inquiry About Medi-Cal Eligibility and

Qualifying For Medi-Cal Benefits

​

​​​​​To qualify for Medi-Cal,the recipient must demonstrate that s/he has limited resources available.

Since January 1, 1989, the property limit for an unmarried person has been set at $2,000 and the limit for a married couple (both confined to a skilled nursing facility) has been set at $3,000.

Medi-Cal classifies property as "exempt" and "non-exempt". Exempt property is not counted in determining eligibility; non-exempt property is counted.

If an unmarried applicant has more than $2,000 in non-exempt property, he/she will not be eligible, unless the property is spent down for adequate consideration before the end of the application month.

If you click on the link GENERAL PROPERTY LIMITATIONS.pdf it will provide you with a list of the property that is generally exempt and, therefore, not counted by Medi-Cal in determining eligibility.

​​​​​​Eligibility Requirements to apply for Medi-Cal Benefits do not apply to SSI and other categorically-related recipients. These recipients are automatically eligible for Medi-Cal Benefits.

Others, whose income would make them ineligible for public benefits, may also qualify as "medically needy" if their income and resources are within the Medi-Cal Eligibility limits, (current resource limit is $2,000 for a single individual).

In order to qualify for Medi-Cal Coverage for a skilled nursing home stay, an individual must: